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NPI Code Detail

MEDICARE: RICHMOND CREATIVE COUNSELING

MEDICARE: RICHMOND CREATIVE COUNSELING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1285322628
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHMOND CREATIVE COUNSELING
Provider Business Mailing Address
First Line : 1900 BYRD AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23230-3033
Country : US
Telephone Number : 804-592-6311
Fax Number : 844-905-1362
Provider Business Practice Location Address
First Line : 2550 PROFESSIONAL RD
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-3214
Country : US
Telephone Number : 804-592-6311
Fax Number : 844-905-1362
Authorized Official
Title or Position : PRACTICE OWNER
Name : CARRIE WALKER
Credential :
Telephone Number : 804-592-6311
Provider Enumeration Date : 04/25/2023
Last Update Date : 02/05/2025

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Directions to “RICHMOND CREATIVE COUNSELING ” Practice Location

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